Starting the Bankruptcy Process Bankruptcy Form Full Name (First, Middle, Last) * Email * Phone * Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Do you rent or own? * Rent Own Are you current on your payments? * Yes No Do you have any emergencies such as a foreclosure? * Yes No Do you own a business? * Yes No Are you dealing with any of the following? Wage Garnishment Court Hearing Pending Lawsuit Auto Repossession OtherOther Are you behind on debt payments? * Yes No Have you previously filed for bankruptcy? * Yes No If so, when? Additional Information to Expedite the Process Submit If you are human, leave this field blank.